Provider Demographics
NPI:1790018463
Name:ALTSCHWAGER, SHARON ANN (LCPC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:ALTSCHWAGER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 14TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-4213
Mailing Address - Country:US
Mailing Address - Phone:406-231-2899
Mailing Address - Fax:
Practice Address - Street 1:600 6TH ST NW
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-2449
Practice Address - Country:US
Practice Address - Phone:406-771-8182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1359101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor